Individual
MR. DAVID LAWRENCE BRUNKEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1499 N STATE ST, SAN JACINTO, CA 92583-2325
(951) 487-3598
(951) 654-4572
Mailing address
27628 ROCKWOOD AVE, MORENO VALLEY, CA 92555-5732
(951) 487-3598
(951) 654-4572
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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